Organization
PHYSICIANS MEDICAL CENTER, P C
Active
Organization
PHYSICIANS MEDICAL CENTER, P C
Active
Other names
Physicians Medical Center, Lab
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY J CRAIG (CREDENTIALING)
(503) 758-4135
Entity
Organization
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-6161
(503) 434-8498
Mailing address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-6161
(503) 434-8498
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D0622888
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38D0622888
CLIA# MEDICARE/MEDICAID
OR
Enumeration date
05/31/2006
Last updated
09/12/2022
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